Post Graduate School

Indian Agricultural Research Institute

New Delhi-110012
Application Form For Admission to Ph.D. Entrance Examination 2019-20
Application No.: 12121

Scheme: Open

Applicant Name: BABY

Father's Name: PARDEEP SHARMA Mother's Name: ANJU SHARMA

Date Of 01/02/1996 Gender: Female

Birth(dd/mm/yyyy):

Marital Status: UnMarried Category: Unreserved(UR)

Certificate No: Certificate Issue date:

Father Occupation: Private Job Father's Income: upto-250000

Mother Occupation: Housewife Mother's Income: Nil

Aadhar No: 483391009529 Other Id (If not

Aadhar):

Correspondence Address: HOUSE NO.106,SECTOR-22,BLOCK-B,

PUNJAB

State: Punjab Pin Code: 147301

Permanent Address: HOUSE NO.106,SECTOR-22,BLOCK-B,

PUNJAB

State: Punjab Pin Code: 147301

Mobile No: 7696397708 Email Id: baby77988@gmail.com

Nationality: Indian

Discipline Details
Discipline Name: Microbiology Sub Discipline Name:

Applied For: IARI New Delhi Specialization in Microbiology Other

only M.Sc./M.Sc(Ag)/M.Tech/M.E: Specialization:

Medium of Question English Choice of Exam Centers: Ludhiana

Paper:
Education Details
Examination Board Passing Year Marks percentage

Matric/10th: State Board 2011 76.69

Inter/12th/HSC/PUC: State Board 2013 71.77

Passing Marks Total

Degree University Stream Year percentage OGPA OGPA

B.Sc./B.Sc(Ag)/B.Tech/B.E Others NonAgriculture 2016 72.85

M.Sc/M.Sc(Ag)/M.Tech/M.E. Others NonAgriculture 2018 79.10 7.91 10

Exam

Employment History
Name of Organization:

Post Held: Date of Joining:

NEFT Details
Transaction Id/No.: BKIDN19115411370

Transaction Date: 25/04/2019

Bank Name: Bank of Baroda

Amount (Rs.): 1000

Narration: Baby

List of documents to be attached with the application form:

(a) Printed copy of application form.
(b) Self-attested copies of the following:
   1. Certificate of matriculation (10th) for proof of date of birth.
   2. Master's degree certificate and marks sheet.
   3. SC/ST/OBC/PC/CWSF certificate (whichever is applicable).
   4. Certificate for candidate appearing for M.Sc/M.Sc(Ag.)/M.E./M.Tech. final year examination along with marks sheet of the
complete courses.
(c) Forwarding letter from the employer (in case of in-service candidates).

I declare that the particulars above are correct.If any information given above is found to be wrong,
I will have no objection to my selection being cancelled.
Signature--------------------------